편측폐환기 및 폐부종에서 호흡요법이 심혈관계와 혈액가스에 미치는 영향
Nowadays, the importance of respiratory therapy is increasing with the development of modern medicine. Especially effective roupiratory care in the field of anesthesia and intensive care unit has close releatinship to the decrease of mortality or morbidity of the critically ill patients. Compared wi...
Gespeichert in:
Veröffentlicht in: | Korean journal of anesthesiology 1988-05, Vol.21 (3), p.484 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | kor |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
Zusammenfassung: | Nowadays, the importance of respiratory therapy is increasing with the development of modern medicine. Especially effective roupiratory care in the field of anesthesia and intensive care unit has close releatinship to the decrease of mortality or morbidity of the critically ill patients. Compared with spontaneous respiration, so various phusiological changes related to these methods can occur. Because most modernized ventilations can choose the various respiratory pattens according to the patients` respiratory condition, it is ideal to select the respiratory mode which is least hazardous and most effective to the patients. To confirm the effects of respiratory therapy on the cardiovascular system and arterial blood gas in one-lung ventilation and in pulmonary edema, we made one-lung ventilation by deep right endobronchial intubation and pulmonary edema was induced by oleic acid (0.05g/kg. IV) to 12 mongrel dogs. And we ovserved the cardiovascular changes and arterial blood gas analysis in the situation of applying the inspiratory pause (0.25 sec. and 0.5 sec) and positive end-expiratory pressure (5 cm H_2O and 10 cm H_2O). The results were as follows: 1) One-Lung Ventilation (1) Insipratory pause There were no changes of cardiovascular system and arterial blood gas in the inspiratory pause of 0.25 and 0.5 sec. (2) PEEP In 5 cmH_2O of PEEP there was no change of cardiovascular system, but there was decrease in PCO_2(P |
---|---|
ISSN: | 2005-6419 |